CACHE VALLEY ASSISTED LIVING
NPI 1144549122
Assisted Living Facility in Providence, UT

Active since May 29, 2010CLIA 46D2196288 · Waiver
233 N MAIN ST, PROVIDENCE, UT 84332(435) 972-4770 Get Directions Write a Review

NPPES record last updated: May 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cache Valley Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CACHE VALLEY ASSISTED LIVING (NPI 1144549122) is a healthcare organization registered as an assisted living facility in Providence, Utah and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Gene Spaulding, Owner, as its authorized official.

NPPES Registry Identity

NPI1144549122
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCACHE VALLEY ASSISTED LIVING
Location Address233 N MAIN STProvidence, UT 84332-9622
Mailing Address233 N Main StProvidence, UT 84332-9622 · (435) 972-4770
Organization SubpartNo
Authorized OfficialGene SpauldingOwner · (435) 792-4770
Enumeration DateMay 29, 2010
NPI 1144549122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

233 N MAIN ST, Providence, UT 84332

Other Identifiers 1

Medicaid=========001UT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2196288

Cache Valley Assisted Living · Providence, UT
Active · expires Oct 14, 2026
CLIA Number46D2196288
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorRoss R. Thomas
Laboratory Phone(435) 792-4770
Laboratory LocationCache Valley Assisted Living333 N Main St, Providence, UT 84332
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
233 N MAIN ST
PROVIDENCE, UT 84332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cache Valley Assisted Living's NPI number?

The NPI number for Cache Valley Assisted Living is 1144549122. It was assigned to this organization in the NPPES registry on May 29, 2010.

Where is Cache Valley Assisted Living located?

Cache Valley Assisted Living is located at 233 N Main St, Providence, UT 84332. The listed phone number is (435) 972-4770.

What is Cache Valley Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Cache Valley Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2196288) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cache Valley Assisted Living was last updated on May 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.